将优先事项转化为实践:为加拿大各地的无保险移民人口提供助产护理
Heidi Elias1,2, Lindsay Larios3
1Faculty of Graduate Health Sciences, Department of Midwifery, McMaster University, Hamilton, Ontario, Canada.
Birth (Berkeley, Calif.)
|November 7, 2024
概括
加拿大助产士的目标是为新来者提供公平的护理,但对于没有公共医疗保险的人来说,接入障碍仍然存在. 政策差距阻碍了对弱势移民群体的这些重要承诺的实现.
科学领域:
- 健康 公平 卫生 公平
- 助产士的护理 助产士的护理
- 移民政策 移民政策
背景情况:
- 有不稳定的移民身份的新移民面临医疗保健获取障碍.
- 许多人没有资格获得公共医疗保险,影响了医疗保健.
- 省级助产士协会将移民视为优先人口.
研究的目的:
- 了解无保险移民获得公平助产护理的政策.
- 确定政策主题,差距和限制访问的监管障碍.
主要方法:
- 使用健康公平框架进行高层次文件内容分析.
- 分析的重点是与无保险人群平等获取相关的语言.
- 分析了64份文件,包括立法和监管机构的声明.
主要成果:
- 加拿大助产机构承诺为各种客户提供可访问的护理.
- 在不同司法管辖区实施可访问护理的情况有很大差异.
- 曼尼托巴和安大略省的案例说明了承诺和实践之间的差距.
结论:
- 公平助产护理的意图存在,但实际实现是不完整的.
- 结构性问题,比如新来者缺乏公共医疗保险,阻碍了公平.
- 为了实现医疗保健公平,需要有意义地参与移民政策.
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